Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.13 / $16.38	Professional		$10.80	$13.13	$16.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $36.13 / $44.19	Professional		$30.71	$36.13	$44.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.79 / $31.00	Facility		$13.13	$13.79	$31.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.06 / $13,910.16 / $18,772.80	Professional		$38.06	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.42 / $33.52 / $34.17	Facility		$22.42	$33.52	$34.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.79 / $31.02	Facility		$13.13	$13.79	$31.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $2,250,000.00 / $2,400,000.00	Professional		$34.99	$2,250,000.00	$2,400,000.00